Laserfiche WebLink
tio. � CITY OF EVERETT oR�e�R� NO. �`t; �� r � <br />��� APPLICATION FOR VNATER SERVICE <br />Lj � <br />DATE_—(—�� —iH�Z <br />� FIXED <br />� DEPOSIT g_�� �� ry G. . _ <br />�? /I, r c�-� M�2so� � � �, � � , �,_ <br />SERVICE car woonesu� z� _.J _�S —�.-BLK._�—L0T1 �/ � _ADD. .�fj� -� <br />+`%v% %/NG lid�25:T� <br />OWNER_Pv\U1�_��-_S_�� -----GONTRHCT9R ----- — <br />/ /i PLML----�--_, <br />INSTALL.�L��AiETERED SERVICff — —' <br />� '__ -�— <br />1 HEREBY AP7LY FOR THE USE OF WA7ER 'N ACCORDANCE WITIi THE Ir � <br />OkDINANCES AND POLICIES OF ThIE WATER DEPARTMENT NOW E%ISTING <br />OR AS SdME MAY BE HEP,�AFTER CHANGED. slcNEo: --�'��---------- <br />MATER�AlS Ya IN. 1 IN. � 2 IN. I I PPICE � AMOUNT <br />PIPE � COPPER - GALV. •- STEEL I <br />CORPORATION �� _ <br />CURB COCK OT � �__I_ <br />SERVICE BOX� PLASTIC •- G 1 I . <br />METER VALVE � <br />METER No. �'; s? :r �`. 7YPE: '�.. _ ,,_—_.._� � --_ _—� _ � _ <br />. __ __ . - — . -- -.I-- <br />- _ -1-- <br />METER BOX CONCRETE�7!.;r �- (SMALL� LARGE —�_ <br />IJ ;�i .J"/:/� � I � <br />�.' " " �%�i, - ` � �'� � � � � � — _ <br />--- - -7-_� -1-�-- <br />- - - i <br />_,_ , ; - -�--� --�--�- -- <br />OATE INSTALLED: <br />COOF_ I <br />REFtARKS: <br />I �'ON <br />� OFF <br />LA��F ANO EQUIPMEN'f RENT�L <br />_� _� <br />= —l" ' --- = � J �, e', ,_,, <br />�J <br />— -- — ;, <br />SUB TOTAL <br />MOURS HRTE <br />� <br />ri <br />TOTAL <br />n <br />